Individual provider Active NPI

Shane Patrick Duggan, DPM

  • Foot & Ankle Surgery Podiatrist
  • Newburgh, IN
National Provider Identifier
1417687724
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07001502A Issued in IN
Practice address
10455 Orthopaedic Dr
Newburgh, IN 47630-7955
Phone
(812) 424-9291
Fax
(812) 421-2722
NPI assigned
Jun 10, 2022
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 298099 KY
Foot & Ankle Surgery Podiatrist 213ES0103X 07001502A IN Primary

Addresses

Primary practice location

10455 Orthopaedic Dr
Newburgh, IN 47630-7955

Mailing address

PO Box 328
Evansville, IN 47702-0328
Phone (812) 424-9291

Other practice location 1

5828 Pearl Dr
Evansville, IN 47712-8116
Phone (812) 424-9291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250813000454 IN Practitioner - Podiatry 6709384217 Reassigns benefits to 1 organization
I20250818003834 KY Practitioner - Podiatry 6709384217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Associates IncGroup PAC ID 2163490285, shared by 4 NPIs, 26 clinicians

Practice addresses (Care Compare)

10455 Orthopaedic Dr
Newburgh, IN 47630-7955
Phone (812) 424-9291

340 Starlite Dr
Henderson, KY 42420-6102
Phone (812) 424-9291

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
298099KYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates, Inc. Foot & Ankle Surgery Current Accepting new patients
Orthopaedic Associates Inc Foot & Ankle Surgery CurrentSince Aug 4, 2025 Accepting new patients
Orthopaedic Associates, Inc. Foot & Ankle Surgery CurrentSince Aug 4, 2025 Accepting new patients

Locations

515 Read St
Evansville, IN 47710
Phone (812) 437-1420

10455 Orthopaedic Dr
Newburgh, IN 47630
Phone (812) 858-2100

340 Starlite Dr
Henderson, KY 42420
Phone (270) 212-3070

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1417687724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477020328",
            "telephone_number": "812-424-9291",
            "fax_number": "812-421-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10455 ORTHOPAEDIC DR",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307955",
            "telephone_number": "812-424-9291",
            "fax_number": "812-421-2722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5828 Pearl Dr",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477128116",
            "country_code": "US",
            "telephone_number": "812-424-9291",
            "fax_number": "812-421-2722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUGGAN",
        "first_name": "SHANE",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-10",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "298099",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001502A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.